Keywords : Axillary Clearance
A Single Axillary Crease Incision for Wide Local Excision and Axillary Clearance in Early Breast Cancer
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 1, Pages 895-902
Background: Breast cancer is the commonest malignancy in females. Despite the several surgical techniques that have been used to provide the ultimate pathological clearance and cosmetic results, the aesthetic outcome and scarring are not appreciated. Therefore, this current thesis is conducted to study a new technique to reduce this scarring. The single axillary crease approach is not currently used in Zagazig University Hospitals.
Patients and methods: An interventional Study included 30 cases with breast cancer who admitted to Zagazig University Hospitals. All patients were informed regarding this type of breast conservative surgery and the post-operative demands of the follow up.
Results: Patient age range was 35-52and that the mean age was 43.53. The tumor size range was (0.8-4.9) and the mean tumor size was 3.24. The number of cleared lymph nodes ranged from (5-29). About 73.3% of the cleared lymph nodes tested postive by histopathological examination. About 6.7% of the cases were complicated with wound infection, 6.7% with seroma and 6.7% with wound dehiscence. The range of patient satisfaction was (5-10) while the mean patient satisfaction was 8.26. There were no significant difference between complicated and non complicated cases with regard to age, tumor size and number of cleared lymph nodes. There was a significant difference between complicated and non complicated cases regarding patient satisfaction.
Conclusion: The single incision approach in breast conserving surgery has a high success rate in its implementation, for lumpectomy. Patients operated on using this procedure presented greater satisfaction with both the breast and with the informational process compared with standard surgery.